- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.49 / $3.49 / $5.54
| Facility | | $3.49 | $3.49 | $5.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $4.36 / $5.69
| Professional | | $2.48 | $4.36 | $5.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $7.12 / $7.12
| Professional | | $7.12 | $7.12 | $7.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $7.12 / $7.12
| Professional | | $5.42 | $7.12 | $7.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.28 / $4.28 / $8.34
| Facility | | $4.28 | $4.28 | $8.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $3.64 / $5.03
| Professional | | $3.64 | $3.64 | $5.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.55 / $7.12 / $13.53
| Professional | | $6.55 | $7.12 | $13.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $5.08 / $5.34
| Professional | | $3.68 | $5.08 | $5.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.49 / $3.49 / $5.54
| Facility | | $3.49 | $3.49 | $5.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $4.36 / $6.23
| Professional | | $2.48 | $4.36 | $6.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.80 / $10.19 / $14.00
| Professional | | $8.80 | $10.19 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.28 / $4.28 / $8.34
| Facility | | $4.28 | $4.28 | $8.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $3.64 / $8.25
| Professional | | $3.64 | $3.64 | $8.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.09 / $6.77 / $6.77
| Facility | | $5.09 | $6.77 | $6.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $6.77 / $6.77
| Professional | | $5.09 | $6.77 | $6.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $3.55 / $6.22
| Professional | | $2.37 | $3.55 | $6.22 |